Revised Geneva score for pulmonary embolism
Clinical probability of PE without physician gestalt.
Inputs
CompleteAge above 65
Previous DVT or PE
Surgery or lower-limb fracture within 1 month
Active malignancy
Unilateral lower-limb pain
Hemoptysis
Heart rate
Pain on deep venous palpation and unilateral edema
Worked calculation
Your values are highlighted.
- Points
When to use
- Suspected PE; an alternative to Wells.
Pearls and pitfalls
- Low or intermediate probability: D-dimer (age-adjusted) next.
Why use
Fully objective items.
| Criterion | Points |
|---|---|
| Age above 65 | +1 |
| Previous DVT or PE | +3 |
| Surgery or lower-limb fracture within 1 month | +2 |
| Active malignancy | +2 |
| Unilateral lower-limb pain | +3 |
| Hemoptysis | +2 |
| Heart rate: Below 75 | 0 |
| 75–94 | +3 |
| 95 or higher | +5 |
| Pain on deep venous palpation and unilateral edema | +4 |